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Il l~lllllNllit111` <br />• • 999 <br />"` V <br />REGULAR OPERATION C112) <br />RECLAMATION PERMIT `!V~ ~. <br />APPLICATION FORM 0;,~.,,; <br />CHECK ONE: New Application (Rule 2) Amendment Application (Rule `h:>~) <br />_~ Conversion Application (Rule 1.10) <br />The application for a Regular Operation Reclamation Permit contains three major parts: <br />(1) the application form; (2) Exhibits A-S; and, (3) the application fee. When you <br />submit your application, be sure to include one <1) signed original and four (4> signed <br />copies of the application form, five (5> copies of Exhibits A-S, and a check for the <br />application fee described under Section (14) on Page 3. To expedite processing, please <br />provide the information in the format and order described in this form. ~ p~ ,/ <br />---____-__-~=oax3asrsnsa~=ac.ev.a~~___________________________~--...__ ---- <br />GENERAL OPERATION INFORMATION Q~ /pc~~ <br />Type or print clearly, in the space provided, all information described below. <br />----- --~---~a~~a~-=~=~=~=======~~sasasans:~ovasesasaxa:aox=xssats a~aaassaa~~aas <br />1. Applicant/operator name: Anthony zellitti <br />1.1 Type of organization (corporation, partnership, etc.): sole proprietorship <br />2. Operation name (pit, mine or site name): zellitti Pit <br />2.1 I.R.S. Tax ID No. or Social Security No.: <br />3. Permitted Acres: 36 a~ rP~ Permitted acres <br />Please indicate acreage to the nearest tenth (10th) acre. <br />3.1 Application fee <see Section 14): 1500.00 Application fee <br />a- Substance(s) to be mined (e.g., gravel/gold/borrow): gra ve 1 <br />5. Name of owner Of surface of affected land: Anthony, Marilyn & Louie Zellitti <br />6. Name of owner of subsurface rights of affected land: Anthony, Marilyn & Louie <br />If 2 or more owners, refer to Exhibit P. Zellitt i <br />7. Type of mining operation: x Surface _ Underground <br />8. Location Information: the center of the area where the majority of mining will <br />occur lies in: <br />COUNTY: La Plata <br />PRINCIPAL MERIDIAN (check one): _ 6th (Colorado) x i0th (New Mexico) Ute <br />TOWNSHIP (write number and check direction): T 34 x North _ <br />South <br />RANGE (write number and check direction): R 9 East X West <br />SECTION (write number>: S "' 3"~ - - <br />QUARTER SECTION (check one): NE NW x SE SW <br />QUARTER/QUARTER SECTION (check one>: - NE x NW SE _ <br />SW <br />GENERAL DESCRIPTION: - `- - - <br />(mi les and direction 11.5 miles southea st of Durango, CO <br />from nearest tawn and <br />approximate elevation) approximately 6650 feet <br /> <br />